Individual provider Active NPI

Thomas John Rauchut, CRNP

  • Neonatal Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1235432295
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
SP011997 Issued in PA
Practice address
252 S 4TH St
Lebanon, PA 17042-6111
Phone
(717) 851-2613
Fax
(717) 798-3677
NPI assigned
Dec 14, 2010
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X R193522 MD
Neonatal Nurse Practitioner 363LN0000X SP011997 PA Primary

Addresses

Primary practice location

252 S 4TH St
Lebanon, PA 17042-6111

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-2613

Other practice location 1

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7784

Other practice location 2

1001 S George St
York, PA 17403-3676
Phone (717) 851-2613

Other practice location 3

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 851-3884

Other practice location 4

3601 A St
Philadelphia, PA 19134-1043
Phone (215) 427-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130419000373 PA Practitioner - Nurse Practitioner 0840436747 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R193522MDMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Sep 26, 2017 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Dec 26, 2019 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Dec 26, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Sep 26, 2017 Accepting new patients
Phoenixville Clinic Company LLC Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2023 Accepting new patients

Locations

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
  • Direct secure messaging: trauchut411567@wellspan.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1235432295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-2613",
            "fax_number": "717-798-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-851-2613",
            "fax_number": "717-798-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7784",
            "fax_number": "717-267-7435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2613",
            "fax_number": "717-798-3677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-851-3884",
            "fax_number": "717-851-3382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 A St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341043",
            "country_code": "US",
            "telephone_number": "215-427-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUCHUT",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MD",
            "license": "R193522",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "PA",
            "license": "SP011997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.